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Audiology Forms - Office Forms - HearForm

    https://www.hearform.com/features/office-forms/audiology#:~:text=The%20Standard%20Blank%20Audiogram%20is%20a%20basic%20ANSI,designed%20specifically%20to%20follow%20the%20Speech%20Intelligibility%20Index.
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Audiology Forms - Office Forms - HearForm

    https://www.hearform.com/features/office-forms/audiology
    The Standard Blank Audiogram is a basic ANSI form. It has the standard column width at 125, 250 and 500 Hz. The Speech Weighted Audiogram (10 db) is designed specifically to follow the Speech Intelligibility Index. Although this is not an ANSI audiogram, it is scientifically based.

Audiogram Template Word - Fill Out and Sign Printable …

    https://www.signnow.com/fill-and-sign-pdf-form/17428-printable-audiogram-form
    Enter your official identification and contact details. Apply a check mark to point the answer where necessary. Double check all the fillable fields to ensure full precision. Use the Sign Tool to add and create your electronic signature to signNow the Printable audiogram form. Press Done after you fill out the form.

AM 232 Audiogram Form - meddevicedepot.com

    http://meddevicedepot.com/PDFs/AudiogramForm.pdf
    Title: AM 232 Audiogram Form Author: Unknown Subject: Examination Form Keywords: am232, audiometer, form, hearing, test, ear Created Date: 1/14/2002 11:21:16 AM

Teaching Audiogram - Fill Out and Sign Printable PDF ...

    https://www.signnow.com/fill-and-sign-pdf-form/32849-teaching-audiogram-form
    Get and Sign Audiogram Maker Form . Pitches (think flute) 2000 4000 normal hearing for children 10 f th 20 p h z v k g s mild hearing loss 30 j m d b i e l o a r 40 50 60 70 ch sh moderate hearing loss u Severe Hearing loss 80 90 100 profound hearing loss 110 120 Familiar sounds audiogram adapted from J.L. Northern and M.P. Downs (1984).

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